Abstract

This research and educational partnership between the Department of Surgery at the Universidade Eduardo Mondlane (UEM) and the University of California, San Diego (UCSD) is directed at developing strategies for building sustainable surgical capacity in rural areas of Mozambique. The project will build on an already strong collaboration between UEM and UCSD medical schools and use expertise from the World Health Organization, Canadian Network for International Surgery and the American College of Surgeons. A strong emphasis will be placed on local program leadership with the goal of developing a cadre of local experts who will be empowered to drive future surgical research initiatives and make decision about resource allocation.
The Specific Aims are to: 1) Identify the best strategies for building emergency and essential surgical capacity in rural areas of Mozambique and 2) Increase capacity for surgical research at UEM and its allied institutions via training and partnerships. The expected outcome is a better understanding of the role for surgery in primary health care in Mozambique, an evidenced-based strategy for building surgical capacity in rural area, and an increased capacity for surgical research by local experts.

Public Health Relevance

Surgical conditions, especially obstetrical emergencies and injuries account for a significant burden of disease in Mozambique. Surgical and obstetrical services are currently unable to meet the population need resulting in death and disability. Surgical care improves maternal and child health and reduces disability related to injuries.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
Resource-Related Research Projects (R24)
Project #
5R24TW008910-02
Application #
8150392
Study Section
Special Emphasis Panel (ZRG1-BDA-B (50))
Program Officer
Razak, Myat Htoo
Project Start
2010-09-27
Project End
2015-08-31
Budget Start
2011-09-01
Budget End
2012-08-31
Support Year
2
Fiscal Year
2011
Total Cost
$400,000
Indirect Cost

  Institution

Name
Eduardo Mondlane University
Department
Type
DUNS #
552665143
City
Maputo
State
Country
Mozambique
Zip Code
257

  Publications

Bickler, Stephen W; Wang, Andrew; Amin, Said et al. (2018) Urbanization in Sub-Saharan Africa: Declining Rates of Chronic and Recurrent Infection and Their Possible Role in the Origins of Non-communicable Diseases. World J Surg 42:1617-1628
Cerveja, Borges Zacarias; Tucuzo, Rafael Manuel; Madureira, Ana Carina et al. (2017) Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1° De Maio Health Centre in Maputo, Mozambique. EC Microbiol 9:231-240
Virgínia Noormahomed, Emília; Carrilho, Carla; Ismail, Mamudo et al. (2017) The Medical Education Partnership Initiative (MEPI), a collaborative paradigm for institutional and human resources capacity building between high- and low- and middle-income countries: the Mozambique experience. Glob Health Action 10:1272879
Tilghman, Myres; Tsai, Daniel; Buene, Titos P et al. (2015) Pooled Nucleic Acid Testing to Detect Antiretroviral Treatment Failure in HIV-Infected Patients in Mozambique. J Acquir Immune Defic Syndr 70:256-61
Rose, John; Weiser, Thomas G; Hider, Phil et al. (2015) Estimated need for surgery worldwide based on prevalence of diseases: a modelling strategy for the WHO Global Health Estimate. Lancet Glob Health 3 Suppl 2:S13-20
Faierman, Michelle L; Anderson, Jamie E; Assane, Americo et al. (2015) Surgical patients travel longer distances than non-surgical patients to receive care at a rural hospital in Mozambique. Int Health 7:60-6
Rose, John; Bendix, Peter; Funzamo, Carlos et al. (2015) Universities form research partnership to improve care in Mozambique. Bull Am Coll Surg 100:27-34
Bendix, Peter G; Anderson, Jamie E; Rose, John A et al. (2015) Improving surgical systems in low- and middle-income countries: an inclusive framework for monitoring and evaluation. Int Health 7:380-3
Bickler, Stephen W; Lizardo, Radhames E; De Maio, Antonio (2015) The transition from a rural to an urban environment alters expression of the human Ebola virus receptor Neiman-Pick C1: implications for the current epidemic in West Africa. Cell Stress Chaperones 20:203-6
Anderson, Jamie E; Erickson, Anne; Funzamo, Carlos et al. (2014) Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique. World J Surg 38:823-9

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